CPT code 64624: Genicular nerve ablation, three or more branches2026 Medicare rate & RVUs in South Dakota

Reports neurolytic treatment of three or more genicular nerve branches, commonly by radiofrequency lesioning for persistent knee pain.

CMS RVU26DEffective Oct 1, 2026One payment locality34.6K Medicare services in 2024

In South Dakota, Medicare pays $406.29 for 64624 in the office and $128.39 when it’s performed in a hospital or facility.

$406.29Office (non-facility)
$128.39Hospital or facility
−1.2%vs the national office rate ($411.17)

Check a contract rate as a % of Medicare · 64624 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 64624 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 64624 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 64624 covers

This procedure destroys genicular nerve branches that carry pain signals from the knee, most commonly through radiofrequency lesioning. Interventional pain physicians and other clinicians who perform image-guided pain procedures use it for selected patients with persistent knee pain, including pain associated with osteoarthritis. The code covers treatment of three or more genicular nerve branches and includes imaging guidance when performed.

Report the code once for the treated knee when three or more branches are destroyed; treatment of only one or two genicular branches is generally reported with 64640 instead. The procedure note should identify the treated side and branches, the neurolytic technique, and any imaging guidance. A 10-day global period includes related postoperative visits during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How South Dakota compares for 64624

Across 109 of 109 payment localities, the office rate for 64624 runs from $362.15 in Arkansas to $559.19 in San Benito County, CA. South Dakota pays $406.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

64624 in South Dakota vs other payment areas
  1. South Dakota · this page$406.29
  2. Los Angeles, CA · California$471.02+$64.73
  3. Washington, DC area · District of Columbia$473.77+$67.48
  4. Miami, FL · Florida$435.62+$29.33
  5. Chicago, IL · Illinois$422.86+$16.57
  6. Manhattan, NY · New York$472.90+$66.61
  7. Alaska · Alaska$469.57+$63.28

Other areas in South Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

64624 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$367.69$124.53
ArkansasArkansas$362.15$123.44
ArizonaArizona$400.12$130.83
Bakersfield, CACalifornia$440.78$136.21
Chico, CACalifornia$440.08$135.51
El Centro, CACalifornia$440.12$135.55
Fresno, CACalifornia$440.08$135.51
Hanford, CACalifornia$440.08$135.51

64624 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$362.15

$499.64

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
64624 office rate range by state
State / territoryOffice rate rangeLocalities
AK$469.571
AL$367.691
AR$362.151
AZ$400.121
CA$440.08–$559.1929
CO$431.161
CT$439.161
DC$473.771
DE$406.961
FL$400.68–$435.623
GA$377.77–$418.042
GU$452.231
HI$452.231
IA$379.341
ID$381.511
IL$387.26–$426.114
IN$383.861
KS$376.581
KY$374.761
LA$373.79–$393.152
MA$428.06–$476.232
MD$415.25–$473.773
ME$382.60–$405.552
MI$384.07–$404.922
MN$415.341
MO$366.49–$395.713
MS$364.441
MT$411.151
NC$386.921
ND$406.801
NE$381.781
NH$423.461
NJ$444.79–$468.372
NM$385.891
NV$410.261
NY$392.87–$483.605
OH$383.181
OK$375.041
OR$407.69–$446.372
PA$384.33–$427.272
PR$414.601
RI$422.561
SC$385.571
SD$406.291
TN$378.431
TX$381.63–$429.188
UT$391.081
VA$403.53–$473.772
VI$414.601
VT$404.311
WA$427.55–$487.062
WI$392.541
WV$372.111
WY$409.251

See 64624 in every payment locality

How the 64624 rate is calculated

Each of 64624’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 64624

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.44

2.44 RVUs× 1.000 GPCI

Practice expense9.65

9.65 RVUs× 1.000 GPCI

Malpractice0.22

0.22 RVUs× 1.000 GPCI

Adjusted RVUs

12.3100

Conversion factor

$33.4009

Medicare rate

$411.17

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,174

Code
64624
Physician work
2.44
Practice expense
9.65
Malpractice
0.22

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 64624 in South Dakota
ComponentRVULocality factorAdjusted
Physician work2.44× 1.0002.4400
Practice expense9.65× 1.0009.6500
Malpractice0.22× 0.3360.0739
Total RVUs12.1639
Conversion factor× 33.4009

Office rate, South Dakota$406.29

Office: (2.44 × 1 + 9.65 × 1 + 0.22 × 0.336) × $33.4009 = $406.29

Facility: (2.44 × 1 + 1.33 × 1 + 0.22 × 0.336) × $33.4009 = $128.39

Open 64624 in the RVU calculator

Payment rules and modifiers for 64624

64624 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64624

Genicular nerve ablation, three or more branches

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 64624

Genicular nerve ablation, three or more branches

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

64624 without 50 · national office

$411.17

Genicular nerve ablation, three or more branches

64624-50 · Bilateral: 150%

$616.76

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 64624 has changed in South Dakota

64624 · Office / nonfacility

$406.29

Effective 2026-10-01

The base rate is $40.20 higher than on 2025-10-01, moving from $366.09 to $406.29 (11.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $366.09changed to$406.29

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.50 changed to 2.44
    • Practice expense RVU 8.73 changed to 9.65
    • Malpractice RVU 0.23 changed to 0.22
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $383.40changed to$366.09

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.93 changed to 8.73

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $377.14changed to$383.40

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $389.49changed to$377.14

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.91 changed to 8.93
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $403.62changed to$389.49

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 9.08 changed to 8.91
    • Malpractice RVU 0.24 changed to 0.23
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $418.95changed to$403.62

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 9.42 changed to 9.08
    • Malpractice RVU 0.25 changed to 0.24

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $412.08changed to$418.95

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.83 changed to 9.42
    • Malpractice RVU 0.24 changed to 0.25
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    No ratechanged to$412.08

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$406.29$128.39RVU26D
2026-07-01$406.29$128.39RVU26C
2026-04-01$406.29$128.39RVU26B
2026-01-01$406.29$128.39RVU26A
2025-10-01$366.09$138.05RVU25D
2025-07-01$366.09$138.05RVU25C
2025-04-01$366.09$138.05RVU25B
2025-01-01$366.09$138.05RVU25A
2024-10-01$383.40$140.40RVU24D
2024-07-01$383.40$140.40RVU24C
2024-04-01$383.40$140.40RVU24B
2024-03-09$383.40$140.40RVU24AR
2024-01-01$377.14$138.11RVU24A
2023-10-01$389.49$141.10RVU23D
2023-07-01$389.49$141.10RVU23C
2023-04-01$389.49$141.10RVU23B
2023-01-01$389.49$141.10RVU23A
2022-10-01$403.62$143.04RVU22D
2022-07-01$403.62$143.04RVU22C
2022-04-01$403.62$143.04RVU22B
2022-01-01$403.62$143.04RVU22A
2021-10-01$418.95$144.00RVU21D
2021-07-01$418.95$144.00RVU21C
2021-04-01$418.95$144.00RVU21B
2021-01-01$418.95$144.00RVU21A
2020-10-01$412.08$147.18RVU20D
2020-07-01$412.08$147.18RVU20C
2020-04-01$412.08$147.18RVU20B
2020-01-01$412.08$147.18RVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 64624 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

64624 billing questions

How many genicular nerve branches qualify for 64624?

Use 64624 when the procedure destroys three or more genicular nerve branches. For destruction of only one or two branches, 64640 is generally the relevant code.

Is imaging guidance separately reported?

Imaging guidance, when performed for the genicular nerve destruction, is included in 64624.

How should bilateral treatment be reported?

Use modifier 50 for bilateral treatment. CMS pays bilateral 64624 at 150%.

What is included in the global period?

Related postoperative visits for 10 days after the procedure are included in the 10-day global period.

How are other same-session procedures paid?

The highest-valued procedure is paid in full, and other procedures performed in the same session are paid at 50%.

What documentation supports reporting 64624?

Document the treated knee and side, the genicular branches destroyed, and the neurolytic technique. Include details of imaging guidance when it is performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 64624PPRRVU2026_Oct_nonQPP.csv, line 7,174 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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